Literature DB >> 9154362

Long-term attendance at a family practice teaching unit. Qualitative study of patients' views.

J B Brown1, I Dickie, L Brown, J Biehn.   

Abstract

OBJECTIVE: To identify the factors that contribute to patients' long-term attendance at a family practice teaching unit.
DESIGN: Qualitative method of focus groups.
SETTING: A community-based family practice teaching unit in southwestern Ontario. PARTICIPANTS: Patients who had been coming to St Joseph's Family Medical Centre for more than 15 years were purposefully selected to participate.
METHOD: Five focus groups composed of patients who had been affiliated with one of the three practices at the Centre for more than 15 years explored factors contributing to long-term attendance. MAIN
FINDINGS: Four key themes were identified as the primary factors contributing to long-term attendance: the relationship context, the team concept, professional responsibility and attitudes, and comprehensive and convenient care.
CONCLUSION: The resource-rich era of medical care, during which participants formulated their views and opinions about the factors contributing to their long-term attendance at a family practice teaching unit, has come to a close. The findings of this study provide important information that could help maintain one of the basic tenets of family medicine-continuity of care.

Entities:  

Mesh:

Year:  1997        PMID: 9154362      PMCID: PMC2255510     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  19 in total

1.  Pity the poor gatekeeper: a transatlantic perspective on cost containment in clinical practice.

Authors:  T R Taylor
Journal:  BMJ       Date:  1989-11-25

2.  Communication between cancer specialists and family doctors.

Authors:  M L Wood
Journal:  Can Fam Physician       Date:  1993-01       Impact factor: 3.275

3.  Focus groups in family practice research: an example study of family physicians' approach to wife abuse.

Authors:  J B Brown; G Sas
Journal:  Fam Pract Res J       Date:  1994-03

4.  Continuity of care in general practice: a review and critique.

Authors:  G Freeman
Journal:  Fam Pract       Date:  1984-12       Impact factor: 2.267

5.  Continuity of care.

Authors:  I McWhinney
Journal:  J Fam Pract       Date:  1982-11       Impact factor: 0.493

6.  Patient perceptions of continuity of care: is there a socioeconomic factor?

Authors:  S T Liaw; J Litt; A Radford
Journal:  Fam Pract       Date:  1992-03       Impact factor: 2.267

7.  Continuity of care in family practice. Part 2: implications of continuity.

Authors:  I R McWhinney
Journal:  J Fam Pract       Date:  1975-10       Impact factor: 0.493

8.  The resident leaves the patient: another look at the doctor-patient relationship.

Authors:  P R Lichstein
Journal:  Ann Intern Med       Date:  1982-06       Impact factor: 25.391

9.  Patient satisfaction with general practitioner deputising services.

Authors:  R A Dixon; B T Williams
Journal:  BMJ       Date:  1988-12-10

10.  Continuity, family involvement, and clinical content in a year-long ambulatory care clerkship.

Authors:  B W Smith; L E Eary; T J Ruane; D O Hough
Journal:  J Fam Pract       Date:  1989-10       Impact factor: 0.493

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  12 in total

1.  Primary care: core values. Core values in a changing world.

Authors:  I R McWhinney
Journal:  BMJ       Date:  1998-06-13

2.  Continuity in new models of care.

Authors:  Francine Lemire
Journal:  Can Fam Physician       Date:  2014-06       Impact factor: 3.275

3.  [Patient satisfaction with the patient-doctor relationship measured using the questionnaire (PDRQ-9)].

Authors:  Jesús Martín-Fernández; M Isabel del Cura-González; Tomás Gómez-Gascón; Eva Fernández-López; Guadalupe Pajares-Carabajal; Bernardo Moreno-Jiménez
Journal:  Aten Primaria       Date:  2010-02-08       Impact factor: 1.137

4.  Does having regular care by a family physician improve preventive care?

Authors:  W J McIsaac; E Fuller-Thomson; Y Talbot
Journal:  Can Fam Physician       Date:  2001-01       Impact factor: 3.275

5.  Women's experience of maternal serum screening.

Authors:  J C Carroll; J B Brown; A J Reid; P Pugh
Journal:  Can Fam Physician       Date:  2000-03       Impact factor: 3.275

6.  Walk-in clinics in Ontario. An atmosphere of tension.

Authors:  Judith Belle Brown; L Michelle Sangster Bouck; Truls Østbye; Janet M Barnsley; Maria Mathews; Gina Ogilvie
Journal:  Can Fam Physician       Date:  2002-03       Impact factor: 3.275

7.  Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.

Authors:  Nancy Pandhi; Jessica Schumacher; Kathryn E Flynn; Maureen Smith
Journal:  Health Expect       Date:  2008-12       Impact factor: 3.377

Review 8.  The patient-doctor relationship: a synthesis of the qualitative literature on patients' perspectives.

Authors:  Matthew Ridd; Alison Shaw; Glyn Lewis; Chris Salisbury
Journal:  Br J Gen Pract       Date:  2009-04       Impact factor: 5.386

9.  Patient satisfaction with access and continuity of care in a multidisciplinary academic family medicine clinic.

Authors:  Stephen Wetmore; Leslie Boisvert; Esther Graham; Susan Hall; Tim Hartley; Lynda Wright; Jo-Anne Hammond; Holly Ings; Barbara Lent; Anna Pawelec-Brzychczy; Stacey Valiquet; Jamie Wickett; Joanne Willing
Journal:  Can Fam Physician       Date:  2014-04       Impact factor: 3.275

Review 10.  Defining and measuring interpersonal continuity of care.

Authors:  John W Saultz
Journal:  Ann Fam Med       Date:  2003 Sep-Oct       Impact factor: 5.166

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